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Angela Billups Smith, R.D., L.D.

Dietitian, Registered in Columbia, SC. Individual provider (NPI-1).

NPI number1649435546
StatusActive
Last updated in NPPESJul 21, 2008

Details

NPI
1649435546
Entity type
Individual (NPI-1)
Name
Angela Billups Smith
Credential
R.D., L.D.
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 21, 2008
Last updated
Jul 21, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered890432SCYes
133VN1004X Dietitian, Registered, Nutrition, Pediatric462SC

Practice location

3604 Fernandina Rd
Suite 204
Columbia, SC 29210-5221

Phone 803-414-3696

Mailing address

266 Charlwood Rd
Irmo, SC 29063-2303

Phone 803-414-3696

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